09. Exhibit A-4-b.xlsx

Exhibit A-4-b is a compliance history template issued by the Florida Agency for Health Care Administration (AHCA) for ITN 002-24/25, an Enhanced Provider Network Auditing Program solicitation. The template requires respondents to comprehensively document their organizational compliance history, including up to 100 entries each for fines, penalties, sanctions, and Corrective Action Plans (CAPs), as well as detailed information about any contract terminations. Respondents must provide specifics such as dates, amounts imposed, contract names, termination types, client information, and reasons for terminations, covering their organization, affiliates, subsidiaries, and parent organizations.

The template is part of a procurement process for a web-based provider network auditing system targeting Medicaid Managed Care Plans, with an anticipated contract value of $5-10 million annually. Vendors must demonstrate at least three years of healthcare quality assurance experience and will be evaluated across multiple criteria including data systems, network analysis, secret shopper capabilities, compliance, staffing, and qualifications. The contract will run from April 1, 2025, through March 31, 2028, with potential three-year renewals, and requires vendors to maintain Florida office locations, provide bilingual staff, and perform all services within the United States. Expenses will be proportionally reimbursed by managed care plans, with a required performance bond of 10% of the annual contract amount and a proposal guarantee of $500,000.